Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1497392377 · SAN LUIS OBISPO, CA 93401 · Community Health Clinic/Center · NPI assigned 12/10/2019

$19K
Total Medicaid Paid
293
Total Claims
287
Beneficiaries
5
Codes Billed
2020-07
First Month
2023-08
Last Month

Provider Details

Authorized OfficialRICHARDSON, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date12/10/2019

Related Entities

Other providers sharing the same authorized official: RICHARDSON, MATTHEW

ProviderCityStateTotal Paid
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $2.22M
ROGUE FAMILY EYE CARE GRANTS PASS OR $424K
DIGNITY HEALTH SANTA MARIA CA $348K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $230K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $177K
PACIFIC CENTRAL COAST HEALTH CENTERS VENTURA CA $80K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA BARBARA CA $2K
PACIFIC CENTRAL COAST HEALTH CENTERS SAN LUIS OBISPO CA $899.48

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 135 $5K
2021 105 $10K
2022 27 $2K
2023 26 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 67 66 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 159 156 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40 38 $2K
43259 13 13 $2K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 14 14 $54.39